<%@ include file="../common/IncludeTop.jsp"%>

<div id="Catalog">
	<form action="confirmOrderForm" method="post">
	    <table>
			<tr>
				<th colspan=2>Payment Details</th>
			</tr>
			<tr>
				<td>Card Type:</td>
				<td>
					<select>
						<option value="Visa" selected="selected">Visa</option>
						<option value="MasterCard">MasterCard</option>
						<option value="American Express">American Express</option>
					</select>
				</td>
			</tr>
			<tr>
				<td>Card Number:</td>
				<td>
					<input type="text" name="creditCard" value="999999999999">* Use a fake number!
				</td>
			</tr>
			<tr>
				<td>Expiry Date (MM/YYYY):</td>
				<td>
					<input type="text" name="expiryDate" value="12/03"/>
				</td>
			</tr>

			<tr>
				<th colspan=2>Billing Address</th>
			</tr>
			<tr>
				<td>First name:</td>
				<td>
					<input type="text" name="billToFirstName" value="${sessionScope.order.billToFirstName}" />
				</td>
			</tr>
			<tr>
				<td>Last name:</td>
				<td>
					<input type="text" name="billToLastName" value="${sessionScope.order.billToLastName}" />
				</td>
			</tr>
			<tr>
				<td>Address 1:</td>
				<td>
					<input type="text" size="40" name="billAddress1" value="${sessionScope.order.billAddress1}" />
				</td>
			</tr>
			<tr>
				<td>Address 2:</td>
				<td>
					<input type="text" size="40" name="billAddress2" value="${sessionScope.order.billAddress2}" />
				</td>
			</tr>
			<tr>
				<td>City:</td>
				<td>
					<input type="text" name="billCity" value="${sessionScope.order.billCity}" />
				</td>
			</tr>
			<tr>
				<td>State:</td>
				<td>
					<input type="text" size="4" name="billState" value="${sessionScope.order.billState}" />
				</td>
			</tr>
			<tr>
				<td>Zip:</td>
				<td>
					<input type="text" size="10" name="billZip" value="${sessionScope.order.billZip}" />
				</td>
			</tr>
			<tr>
				<td>Country:</td>
				<td>
					<input type="text" size="15" name="billCountry" value="${sessionScope.order.billCountry}" />
				</td>
			</tr>

			<tr>
				<td colspan=2>
					<input type="checkbox" name="shippingAddressRequired"/>
				    Ship to different address...
				</td>
			</tr>
		</table>
		<input type="submit" name="newOrder" value="Continue"/>
	</form>
</div>

<%@ include file="../common/IncludeBottom.jsp"%>